LACEY KENNON

MONROE, LA
NPI1528642014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA  213079)
Enumeration Date2021-05-10
Last Update Date2021-06-15
Business Address
LACEY KENNON APRN
622 RIVERSIDE DR
MONROE, LA 71201-6211
Phone number: 318-398-0945
Mailing Address
LACEY KENNON APRN
622 RIVERSIDE DR
MONROE, LA 71201-6211
Phone number:
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